Individual
DR. JASON ROBERT FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17660 WRIGHT STREET, SUITE 11, OMAHA, NE 68130
(402) 934-3500
Mailing address
7103 S 178TH ST, OMAHA, NE 68136-1572
(402) 614-2230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1224
NE
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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